DR. DANIEL CHARLES STETTNER LP (PH.D.) – Clinical Psychologist, NPI 1093821597

DR. DANIEL CHARLES STETTNER LP (PH.D.) is a healthcare provider. based in Bingham farms, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301003996 (MI). The NPI Number for DR. DANIEL CHARLES STETTNER LP (PH.D.) is 1093821597

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL CHARLES STETTNER LP (PH.D.)
NPI
1093821597
Phone
(248) 693-1916
Address
30150 TELEGRAPH RD STE 245
Enumeration Date
21 August 2006
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006931916
Graduation Year
1976 (50 years ago)
PAC ID
6608055041
Group Practice PAC ID
4880768415
Professional Enrollment ID
I20110201000121
Address ID
MI480851612TR89XXXBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. DANIEL CHARLES STETTNER LP (PH.D.)

  • 30150 TELEGRAPH RD STE 245

    BINGHAM FARMS, MI 480254521

    Phone: (248) 693-1916

    Fax: (248) 605-3525

    Type: Location

  • Woodward Avenue, Royal Oak, Oakland County, Michigan, 48069, United States

    ROYAL OAK, MI 480730990

    Phone: (248) 288-9333

    Fax: (248) 288-1362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110201000121IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes40529$0
View full utilization report →

Insurance plans in this area (ZIP 48025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880768415View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
-IN
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerWI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Psychologist, Mental Health CounselorIL

Reviews

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Frequently asked questions

Does DR. DANIEL CHARLES STETTNER LP (PH.D.) have a public NPI I can cite?
Public records show DR. DANIEL CHARLES STETTNER LP (PH.D.) under NPI 1093821597.
Should I treat DR. DANIEL CHARLES STETTNER LP (PH.D.) as an active provider?
Patients and plans typically see DR. DANIEL CHARLES STETTNER LP (PH.D.) as active in the national extract.
Which specialty label fits DR. DANIEL CHARLES STETTNER LP (PH.D.)?
NPPES ties DR. DANIEL CHARLES STETTNER LP (PH.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DANIEL CHARLES STETTNER LP (PH.D.)?
DR. DANIEL CHARLES STETTNER LP (PH.D.) is associated with Bingham Farms, Michigan in the same public data insurers reference.
Why is information missing for DR. DANIEL CHARLES STETTNER LP (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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